Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Tytuł pozycji:

Comparison of left atrial appendage parameters using computed tomography vs. transesophageal echocardiography for watchman device implantation: a systematic review & meta-analysis.

Tytuł:
Comparison of left atrial appendage parameters using computed tomography vs. transesophageal echocardiography for watchman device implantation: a systematic review & meta-analysis.
Autorzy:
Sattar, Yasar
Kompella, Ritika
Ahmad, Bachar
Aamir, Muhammad
Suleiman, Abdul-Rahman M.
Zghouzi, Mohamed
Ullah, Waqas
Zafrullah, Fnu
Elgendy, Islam Y.
Balla, Sudharshan
Kawsara, Akram
Alraies, M Chadi
Temat:
LEFT heart atrium
COMPUTED tomography
TRANSESOPHAGEAL echocardiography
FLUOROSCOPY
DATABASE searching
TREATMENT effectiveness
Źródło:
Expert Review of Cardiovascular Therapy; Feb2022, Vol. 20 Issue 2, p151-160, 10p
Czasopismo naukowe
Inaccurate sizing of left atrial appendage (LAA) occlusion devices is associated with increased stroke risk. We compared the LAA size to implant the Watchman device assessed by computed tomography (CT) to transesophageal echocardiography (TEE). Databases were searched to identify studies comparing LAA anatomical measurements and procedural outcomes across imaging modalities for the Watchman device implantation. Seven studies were included in the analysis (242 patients on TEE, and 232 on CT). The LAA orifice was larger when sized with CT compared to TEE (CT mean vs TEE SMD 0.30 mm, 95%CI 0.09–0.51 mm, P < 0.01; and CT max vs TEE SMD 0.69 mm, 95%CI 0.51–0.87 mm, P < 0.001). Additionally, CT, including CT-based 3-dimensional models, had higher odds of predicting correct device size compared to TEE (OR 1.64; 95%CI 1.05–2.56; P = 0.03). CT resulted in a lower fluoroscopy time vs TEE (SMD −0.78 min, 95% CI −1.39 to −0.18, P = 0.012). No significant differences were found in device clinical outcomes. Compared to TEE, CT resulted in larger LAA orifice measurements, improved odds of predicting correct device size, and reduced fluoroscopy time in patients undergoing LAA occlusion with the Watchman device. There were no significant differences in other procedural outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Expert Review of Cardiovascular Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies